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  • UK PM listened to his scientists about Covid-19, but they were slow to sound the alarm

    UK PM listened to his scientists about Covid-19, but they were slow to sound the alarm

    UK PM listened to his scientists about Covid-19, but they were slow to sound the alarm 1

    LONDON: It was early spring when British scientists laid out the bald truth to their government. It was “highly likely,“ they said, that there was now “sustained transmission” of COVID-19 in the United Kingdom.

    If unconstrained and if the virus behaved as in China, up to four-fifths of Britons could be infected and one in a hundred might die, wrote the scientists, members of an official committee set up to model the spread of pandemic flu, on March 2. Their assessment didn’t spell it out, but that was a prediction of over 500,000 deaths in this nation of nearly 70 million.

    Yet the next day, March 3, Prime Minister Boris Johnson was his cheery self. He joked that he was still shaking hands with everyone, including at a hospital treating coronavirus patients.

    “Our country remains extremely well prepared,“ Johnson said as Italy reached 79 deaths. “We already have a fantastic NHS,“ the national public health service, “fantastic testing systems and fantastic surveillance of the spread of disease.”

    Alongside him at the Downing Street press conference was Chris Whitty, the government’s chief medical adviser and himself an epidemiologist. Whitty passed on the modelling committee’s broad conclusions, including the prediction of a possible 80% infection rate and the consequent deaths. But he played them down, saying the number of people who would be infected was probably “a lot lower” and coming up with a total was “largely speculative.”

    The upbeat tone of that briefing stood in sharp contrast with the growing unease of many of the government’s scientific advisers behind the scenes. They were already convinced that Britain was on the brink of a disastrous outbreak, a Reuters investigation has found.

    Interviews with more than 20 British scientists, key officials and senior sources in Johnson’s Conservative Party, and a study of minutes of advisory committee meetings and public testimony and documents, show how these scientific advisers concluded early the virus could be devastating.

    But the interviews and documents also reveal that for more than two months, the scientists whose advice guided Downing Street did not clearly signal their worsening fears to the public or the government. Until March 12, the risk level, set by the government’s top medical advisers on the recommendation of the scientists, remained at “moderate,“ suggesting only the possibility of a wider outbreak.

    “You know, there’s a small little cadre of people in the middle, who absolutely did realise what was going on, and likely to happen,“ said John Edmunds, a professor of infectious disease modelling and a key adviser to the government, known for his work on tracking Ebola. Edmunds was among those who did call on the government to elevate the warning level earlier.

    From the outset, said Edmunds, work by scientists had shown that, with only limited interventions, the virus would trigger an “overwhelming epidemic” in which Britain’s health service was not going “to get anywhere near being able to cope with it. That was clear from the beginning.”

    But he said: “I do think there’s a bit of a worry in terms you don’t want to unnecessarily panic people.”

    Johnson, who himself has sickened with the virus, moved more slowly than the leaders of many other prosperous countries to adopt a lockdown. He has been criticised for not moving more swiftly to organise mass tests and mobilise supplies of life-saving equipment and beds. Johnson was hospitalized on April 5 and moved to intensive care the next day.

    It is too soon to judge the ultimate soundness of the UK’s early response. If history concludes that it was lacking, then the criticism levelled at the prime minister may be that, rather than ignoring the advice of his scientific advisers, he failed to question their assumptions.

    Interviews and records published so far suggest that the scientific committees that advised Johnson didn’t study, until mid-March, the option of the kind of stringent lockdown adopted early on in China, where the disease arose in December, and then followed by much of Europe and finally by Britain itself. The scientists’ reasoning: Britons, many of them assumed, simply wouldn’t accept such restrictions.

    The UK scientists were also mostly convinced – and many still are – that, once the new virus escaped China, quarantine measures would likely not succeed. Minutes of technical committees reviewed by Reuters indicate that almost no attention was paid to preparing a programme of mass testing. Other minutes and interviews show Britain was following closely a well-laid plan to fight a flu pandemic – not this deadlier disease. The scientists involved, however, deny that the flu focus ultimately made much difference.

    Now, as countries debate how to combat the virus, some experts here say, the lesson from the British experience may be that governments and scientists worldwide must increase the transparency of their planning so that their thinking and assumptions are open to challenge.

    John Ashton, a clinician and former regional director of Public Health England, the government agency overseeing healthcare, said the government’s advisers took too narrow a view and hewed to limited assumptions. They were too “narrowly drawn as scientists from a few institutions,“ he said. Their handling of COVID-19, Ashton said, shows the need for a broader approach. “In the future we need a much wider group of independent advisers.”

    Michael Cates, who succeeded Stephen Hawking as Lucasian Professor of Mathematics at Cambridge University, is leading an initiative by the Royal Society, the UK’s leading scientific body, to bring modellers in from other scientific disciplines to help understand the epidemic.

    “Without faulting anyone so far, it’s vital, where there is such a lot at stake, to throw the maximum possible light on the methods, assumptions and data built into our understanding of how this epidemic will develop,“ he told Reuters.

    In a statement to Reuters, a spokesperson for the Department of Health and Social Care said the government was delivering “a science-led action plan” to contain the outbreak. “As the public would expect, we regularly test our pandemic plans and what we learned from previous exercises has helped us to rapidly respond to COVID-19.”

    A LOW RISK TO THE PUBLIC

    When news came from China in January of a new infectious disease, Johnson had reason to believe his country was well prepared. It had some of the world’s best scientists and a well-drilled plan to deal with potentially lethal pandemics. Perhaps, some scientists say in hindsight, the plan made them slow to adapt.

    For many years, the Cabinet Office – a collection of officials who act as the prime minister’s direct arm to run the government – took the threat of pandemics seriously. Presciently, it rated pandemics as the Number 1 threat to the country, ahead of terrorism and financial crashes.

    At the centre of planning was a small group of scientists, among them Edmunds. His research group at the London School of Hygiene and Tropical Medicine runs one of the two computer modelling centres for epidemics that have mostly driven government policy. The other is at nearby Imperial College. Edmunds remembers that early in the outbreak, the data from China were sketchy, in the period “where the Chinese were trying to pretend that this wasn’t transmissible between humans.”

    Edmunds and his colleague at Imperial, Neil Ferguson, were part of an alphabet soup of committees that fed advice into the Cabinet Office machinery around the prime minister. Both were founders of the flu pandemic modelling committee, known as SPI-M, that produced the March 2 report warning of more than 500,000 deaths. This committee had met together for nearly 15 years.

    Ferguson did not respond to a request to be interviewed for this article.

    Edmunds and Ferguson were also part of NERVTAG, the New and Emerging Respiratory Virus Threats Advisory Group. Both too were members of the Scientific Advisory Group for Emergencies, known as SAGE, that advises the government in times of crisis. SAGE reports directly to Johnson and the government’s main emergency committee, COBRA.

    At first, when NERVTAG met on January 13, it studied information from China that there was “no evidence of significant human to human transmission” of the new virus, according to minutes of the meeting. The scientists agreed the risk to the UK population was “very low.”

    The evidence soon changed, but this wasn’t reflected in the official threat level. By the end of January, scientists in China began releasing clinical data. Case studies published in the British medical journal, The Lancet, showed 17% of the first 99 coronavirus cases needed critical care. Eleven patients died. Another Chinese study, in the same magazine, warned starkly of a global spread and urged: “Preparedness plans and mitigation interventions should be readied for quick deployment globally.”

    Edmunds recalled that “from about mid January onwards, it was absolutely obvious that this was serious, very serious.” Graham Medley, a professor of infectious diseases modelling at the London School and chairman of SPI-M, agreed. He said that the committee was “clear that this was going to be big from the first meeting.” At the end of January, his committee moved into “wartime” mode, he said, reporting directly into SAGE.

    Dr Jon Read, a senior lecturer in biostatistics at the University of Lancaster, also a member of SPI-M, said by the end of January it was apparent the virus had “pandemic potential” and that death rates for the elderly were brutal. “From my perspective within the sort of modelling community, everybody’s aware of this, and we’re saying that this is probably going to be pretty bad,“ he said.

    But the scientists did not articulate their fears forcefully to the government, minutes of committee meetings reveal.

    On January 21, scientists on NERVTAG endorsed the elevation of the UK risk warning from COVID-19 from “very low” to “low.” SAGE met formally for the first time the following day about the coronavirus threat. So did COBRA, which was chaired by Matt Hancock, the health secretary, who would contract the virus himself in late March. He told reporters after the meeting: “The clinical advice is that the risk to the public remains low.”

    In response to questions from Reuters, the government’s Department of Health declined to clarify how the risk levels are defined or what action, if any, they trigger. In a statement, a spokesperson said: “Increasing the risk level in the UK is a belt and braces measure which allows the government to plan for all future eventualities.”

    Two days later, China put the city of Wuhan, where the outbreak began, into a complete lockdown. Hubei, the surrounding province, would follow. But already, 17 passenger flights had flown directly from Wuhan to Britain since the start of 2020, and 614 flights from the whole of China, according to FlightRadar24, a flight-tracking service. That meant thousands of Chinese, some of them potential carriers, had come to Britain. On April 5, scientific adviser Ferguson said he estimated only one-third of infected people reaching Britain had been detected.

    As they watched China impose its lockdown, the British scientists assumed that such drastic actions would never be acceptable in a democracy like the UK. Among those modelling the outbreak, such stringent counter-measures were not, at first, examined.

    “We had milder interventions in place,“ said Edmunds, because no one thought it would be acceptable politically “to shut the country down.” He added: “We didn’t model it because it didn’t seem to be on the agenda. And Imperial (College) didn’t look at it either.” The NERVTAG committee agreed, noting in its minutes that tough measures in the short term would be pointless, as they “would only delay the UK outbreak, not prevent it.”

    That limited approach mirrored the UK’s longstanding pandemic flu strategy. The Department of Health declined a request from Reuters for a copy of its updated pandemic plan, without providing a reason. But a copy of the 2011 “UK Influenza Pandemic Preparedness Strategy 2011,“ which a spokesman said was still relevant, stated the “working presumption will be that Government will not impose any such restrictions. The emphasis will instead be on encouraging all those who have symptoms to follow the advice to stay at home and avoid spreading their illness.”

    According to one senior Conservative Party politician, who was officially briefed as the crisis unfolded, the close involvement in the response to the coronavirus of the same scientific advisers and civil servants who drew up the flu plan may have created a “cognitive bias.”

    “We had in our minds that COVID-19 was a nasty flu and needed to be treated as such,“ he said. “The implication was it was a disease that could not be stopped and that it was ultimately not that deadly.”

    While the UK was prepared to fight the flu, places in Asia like China, Hong Kong, Singapore and South Korea had built their pandemic plans with lessons learned from fighting the more lethal SARS outbreak that began in 2002, he said. SARS had a fatality rate of up to 14%. As a result, these countries, he said, were more ready to resort to widespread testing, lockdowns and other draconian measures to keep their citizens from spreading the virus.

    Scientists involved in the UK response disagree that following the government’s flu plan clouded their thinking or influenced the outbreak’s course. The plan had a “reasonable worst case” scenario as devastating as the worst predictions for COVID-19, they note.

    Mark Woolhouse, a professor of infectious diseases epidemiology at the University of Edinburgh, and a member of the SPI-M committee, said COVID-19 did behave differently than an expected pandemic flu – for example school closures proved to be far less effective in slowing the spread of the coronavirus. But, broadly, “the government has been consistently responsive to changing facts.”

    By the end of January, the government’s chief medical adviser, Whitty, was explaining to politicians in private, according to at least two people who spoke to him, that if the virus escaped China, it would in time infect the great majority of people in Britain. It could only be slowed down, not stopped. On Jan 30, the government raised the threat level to “moderate” from “low.”

    The country’s medical officers “consider it prudent for our governments to escalate planning and preparation in case of a more widespread outbreak,“ a statement said at the time. Whitty did not respond to questions from Reuters for this article.

    A TIME TO PREPARE

    On the evening of January 31, Boris Johnson sat before a fireplace in 10 Downing Street and told the nation, in a televised address: “This is the moment when the dawn breaks and the curtain goes up on a new act in our great national drama.”

    He was talking of finally delivering Brexit, or what he called “this recaptured sovereignty.” Until that moment, Johnson’s premiership had been utterly absorbed by delivering on that challenge.

    With Brexit done, Johnson had the chance to focus on other matters the following month, among them the emerging virus threat. But leaving the European Union had a consequence.

    Between February 13 and March 30, Britain missed a total of eight conference calls or meetings about the coronavirus between EU heads of state or health ministers – meetings that Britain was still entitled to join. Although Britain did later make an arrangement to attend lower-level meetings of officials, it had missed a deadline to participate in a common purchase scheme for ventilators, to which it was invited. Ventilators, vitally important to treating the direst cases of COVID-19, have fallen into short supply globally. Johnson’s spokesman blamed an administrative error.

    A Downing Street aide told Reuters that from around the end of January, Johnson concentrated his attention increasingly on the coronavirus threat, receiving “very frequent” updates at least once per day from mid February, either in person or via a daily dashboard of cases.

    In the medical and scientific world, there was growing concern about the threat of the virus to the UK. A report from Exeter University, published on February 12, warned a UK outbreak could peak within four months and, without mitigation, infect 45 million people.

    That worried Rahuldeb Sarkar, a consultant physician in respiratory medicine and critical care in the county of Kent, who foresaw that intensive care beds could be swamped. Even if disease transmission was reduced by half, he wrote in a report aimed at clinicians and actuaries in mid-February, a coronavirus outbreak in the UK would “have a chance of overwhelming the system.”

    With Whitty stating in a BBC interview on February 13 that a UK outbreak was still an “if, not a when,“ Richard Horton, a medical doctor and editor of the Lancet, said the government and public health service wasted an opportunity that month to prepare quarantine restriction measures and a programme of mass tests, and procure resources like ventilators and personal protective equipment for expanded intensive care.

    Calling the lost chance a “national scandal” in a later editorial, he would testify to parliament about a mismatch between “the urgent warning that was coming from the frontline in China” and the “somewhat pedestrian evaluation” of the threat from the scientific advice to the government.

    After developing a test for the new virus by January 10, health officials adopted a centralised approach to its deployment, initially assigning a single public laboratory in north London to perform the tests. But, according to later government statements, there was no wider plan envisaged to make use of hundreds of laboratories across the country, both public and private, that could have been recruited.

    According to emails and more than a dozen scientists interviewed by Reuters, the government issued no requests to labs for assistance with staff or testing equipment until the middle of March, when many abruptly received requests to hand over nucleic acid extraction instruments, used in testing. An executive at the Weatherall Institute of Molecular Medicine at the University of Oxford said he could have carried out up to 1,000 tests per day from February. But the call never came.

    “You would have thought that they would be bashing down the door,“ said the executive, who spoke on condition of anonymity. By April 5, Britain had carried out 195,524 tests, in contrast to at least 918,000 completed a week earlier in Germany.

    Nor was there an effective effort to expand the supply of ventilators. The Department of Health told Reuters in a statement that the government started talking to manufacturers of ventilators about procuring extra supplies in February. But it was not until March 16, after it was clear supplies could run out, that Johnson launched an appeal to industry to help ramp up production.

    Charles Bellm, managing director of Intersurgical, a global supplier of medical ventilation products based outside London, said he has been contacted by more than a dozen governments around the world, including France, New Zealand and Indonesia. But there had been no contact from the British government. “I find it somewhat surprising, I have spoken to a lot of other governments,“ he said.

    Countering such criticism, Hancock, the health minister, said the government is on track to deliver about 10,000 more ventilators in the coming weeks. One reason Britain was behind some countries on testing, he said, was the absence of a large diagnostics industry at the outbreak of the epidemic. “We didn’t have the scale.”

    GAME OVER

    It was during the school half-term holidays in February that frontline doctor Nicky Longley began to realise that early efforts to contain the disease were likely doomed.

    For weeks now, doctors and public health workers had been watching out for people with flu-like symptoms coming in from China. Longley, an infectious diseases consultant at London’s Hospital for Tropical Diseases, was part of a team that staffed a public health service helpline for those with symptoms. The plan, she said, had been to make all effort to catch every case and their contacts. And “to start with, it looked like it was working.”

    But then, bad news. First, on Wednesday the 19th of February, came the shock news from Iran of two deaths. Then, on Friday the 21st, came a death in Italy and a bloom of cases in Lombardy and Veneto regions. Britain has close links to both countries. Thousands of Britons were holidaying in Italy that week.

    “I don’t think anybody really foresaw what was happening in Italy,“ Longley said. “And I think, the minute everybody saw that, we thought: ‘This is game over now.’”

    Until then, Longley said, everyone felt “there was a chance to stamp it out” even though most were sceptical it could be done long-term. But after Iran and Italy, it was obvious containment would not work. The contact tracing continued for a while. But as the cases in London built up, and the volume of calls to the helpline mushroomed, the priority began to shift to clinical care of the serious cases. “At a certain point you have to make a decision about where you put your efforts as a workforce.”

    Edmunds noted that Iran and Italy had hardly reported a case until that point. “And then, all of sudden you had deaths recorded.” There was a rule of thumb that, in an outbreak’s early stages, for each death there were probably 1,000 cases in a community. “And so it was quite clear that there were at least thousands of cases in Italy, possibly tens of thousands of cases in Italy right then.”

    Amid the dreadful news from Italy, the scientists at NERVTAG convened by phone that Friday, 21st February. But they decided to recommend keeping the threat level at “moderate,“ where it had sat since January 30th. The minutes don’t give a detailed explanation of the decision. Edmunds, who had technical difficulties and couldn’t be heard on the call, emailed afterwards to ask the warning to be elevated to “high,“ the minutes revealed. But the warning level remained lower. It’s unclear why.

    “I just thought, are we still, we still thinking that it’s mild or something? It definitely isn’t, you know,“ said Edmunds.

    A spokesman for the government’s chief scientific adviser, Sir Patrick Vallance, didn’t directly respond to Reuters questions about the threat level. Asked whether, with hindsight, the scientists’ approach was the right one, the spokesperson said in a statement that “SAGE and advisers provide advice, while Ministers and the Government make decisions.”

    HERD IMMUNITY

    On Sunday, March 1st, Ferguson, Edmunds and other advisers spent the day with NHS public health service experts trying to work out how many hospital beds and other key resources would be needed as the outbreak exploded. By now, Italian data was showing that a tenth of all infected patients needed intensive care.

    The following day, pandemic modelling committee SPI-M produced its “consensus report” that warned the coronavirus was now transmitting freely in the UK. That Thursday, March 5, the first death in the UK was announced. Italy, which reached 827 deaths by March 11, ordered a national lockdown. Spain and France prepared to follow suit.

    Johnson held out against stringent measures, saying he was following the advice of the government’s scientists. He asserted on March 9: “We are doing everything we can to combat this outbreak, based on the very latest scientific and medical advice.”

    Indeed, the government’s Scientific Advisory Group for Emergencies, SAGE, had recommended that day, with no dissension recorded in its summary, that the UK reject a China-style lockdown. SAGE decided that “implementing a subset of measures would be ideal,“ according to a record of its conclusions. Tougher measures could create a “large second epidemic wave once the measures were lifted,“ SAGE said.

    On March 12 came a bombshell for the British public. Chris Whitty, the chief medical officer, announced Britain had moved the threat to UK citizens from “moderate” to “high.” And he said the country had moved from trying to contain the disease to trying to slow its spread. New cases were not going to be tracked at all. “It is no longer necessary for us to identify every case,“ he said. Only hospital cases would, in future, be tested for the virus. What had been an undisclosed policy was in the open: beyond a certain point, attempts to completely extinguish the virus would stop.

    The same day, putting aside his jokey self, Johnson made a speech in Downing Street, flanked by two Union Jacks and evoking the spirit of Winston Churchill’s “darkest hour” address. He warned: “I must level with you, level with the British public – more families, many more families are going to lose loved ones before their time.”

    For most Britons, it came as a shock. Several of the next day’s newspapers splashed Johnson’s words on their front pages.

    Vallance, the government’s chief scientific adviser, who chaired SAGE, said in a BBC interview on March 13 that the plan was to simply control the pace of infection. The government had, for now, rejected what he called “eye-catching measures” like stopping mass gatherings such as football games or closing schools. The “aim is to try and reduce the peak, broaden the peak, not to suppress it completely.” Most people would get the virus mildly, and this would build up “herd immunity” which, in time, would stop the disease’s progress.

    But by now, the country was rebelling. Major institutions decided to close. After players began to get infected, the professional football leagues suspended their games. As Johnson still refused to close schools and ban mass gatherings, the Daily Mirror’s banner headline, summing up a widespread feeling, asked on March 13: “Is It Enough?”

    The catalyst for a policy reversal came on March 16 with the publication of a report by Neil Ferguson’s Imperial College team. It predicted that, unconstrained, the virus could kill 510,000 people. Even the government’s “mitigation” approach could lead to 250,000 deaths and intensive care units being overwhelmed at least eight times over.

    Imperial’s prediction of over half a million deaths was no different from the report by the government’s own pandemic modelling committee two weeks earlier. Yet it helped trigger a policy turn-around, both in London and in Washington, culminating seven days later in Johnson announcing a full lockdown of Britain. The report also jarred the U.S. administration into tougher measures to slow the virus’ spread.

    Ferguson was now in isolation himself after catching the virus. Testifying by video link to a committee in Parliament, he explained why he and other scientific advisers had shifted from advocating partial social-distancing measures to warning that without a rigorous shutdown, the NHS would be overwhelmed. The reason, he said, lay in data coming out of Italy that showed large numbers of patients required critical care.

    “The revision was that, basically, estimates of the proportion of patients requiring invasive ventilation, mechanical ventilation, which is only done in a critical care unit, roughly doubled,“ he said.

    Edmunds had a different explanation for the policy shift.

    What allowed Britain to alter course, said Edmunds, was a lockdown in Italy that “opened up the policy space” coupled with new data. First came a paper by Edmunds’ own London School team that examined intermittent lockdowns, sent to the modelling committee on March 11 and validated by Edinburgh University. Ferguson’s revised Imperial research followed.

    Woolhouse, the Edinburgh professor, confirmed the sequence.

    Edmunds said these new studies together had demonstrated that if the British government imposed a lengthy period of tougher measures, perhaps relaxed periodically, then the size of the epidemic could be substantially reduced.

    Still, without a vaccine or effective treatments, it’s going to be hard to avoid a substantial part of the British population getting infected, said Edmunds. “Until you get to a vaccine, there is no way of getting out of this without certainly tens of thousands of deaths,“ he said. “And probably more than that.”

    Now subject to intense public scrutiny, the modelling teams at universities across Britain continue to work on different scenarios for how the world can escape the virus’s clutches. According to Medley, the chairman of the SPI-M pandemic modelling committee, no one now doubts, for all the initial reservations, that a lockdown was essential in Britain.

    Medley added: “At the moment we don’t know what’s going to happen in six months. All we know is that unless we stop transmission now, the health service will collapse. Yep, that’s the only thing we know for sure.” – Reuters

    UK PM listened to his scientists about Covid-19, but they were slow to sound the alarm
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  • Saudi-led coalition declares 2-week Covid-19 ceasefire in Yemen

    Saudi-led coalition declares 2-week Covid-19 ceasefire in Yemen

    Saudi-led coalition declares 2-week Covid-19 ceasefire in Yemen 2

    RIYADH: The Riyadh-led military coalition fighting Yemen’s Huthi rebels has declared a two-week ceasefire in the country starting Thursday in a bid to combat the spread of the deadly coronavirus.

    The unilateral ceasefire follows an escalation in fighting between the warring parties despite a call by the United Nations for an immediate cessation to protect civilians in the Arab world’s poorest nation from the pandemic.

    The announcement, due to take effect from 0900 GMT Thursday, marks the first breakthrough since the warring parties agreed to a UN-brokered ceasefire in the port city of Hodeida during talks in Sweden in late 2018.

    “The coalition announces a comprehensive ceasefire in Yemen for a period of two weeks, starting on Thursday,“ Turki al-Maliki, the military alliance’s spokesman, said on Wednesday.

    The two-week period, which could be extended, was aimed at creating “appropriate conditions” for a UN-sponsored meeting between the warring parties to facilitate a “permanent ceasefire” in Yemen, Maliki added.

    There was no immediate reaction from the Iran-aligned rebels.

    But hours before the announcement, the rebels released a comprehensive vision to faciliate dialogue, which called for a withdrawal of foreign troops and the end of the coalition’s blockade on Yemen’s land, sea and air ports.

    The coalition, which launched its intervention to oust the rebels in 2015, was committed to a two-week ceasefire but still reserved the right to defend itself if it came under attack, Saudi officials said.

    UN special envoy Martin Griffiths welcomed the coalition’s announcement.

    “The parties must now utilise this opportunity and cease immediately all hostilities with the utmost urgency, and make progress towards comprehensive and sustainable peace,“ Griffiths said.

    Saudi deputy defence minister Prince Khalid bin Salman also called on the rebels to “show good will” and engage in dialogue.

    “The two week ceasefire will hopefully create a more effective climate to deescalate tensions, work with (Griffiths) towards a sustainable political settlement,“ Prince Khalid said on Twitter.

    ‘Litmus test’

    The United Nations has repeatedly called for an immediate cessation of hostilities in Yemen to help avert potentially disastrous consequences of the coronavirus outbreak.

    Yemen’s broken healthcare system has so far recorded no cases of the COVID-19 illness, but aid groups have warned that when it does hit, the impact will be catastrophic.

    The country is already gripped by what the UN calls the world’s worst humanitarian crisis.

    “The ceasefire seems to be more of a courtesy than a policy — it comes in response to UN calls to deescalate during the COVID-19 crisis,“ Fatima Abo Alasrar, a scholar at the Middle East Institute, told AFP.

    Saudi Arabia, the Yemeni government and the Huthi rebels had all welcomed an appeal from UN Secretary General Antonio Guterres for an “immediate global ceasefire” to help avert disaster for vulnerable people in conflict zones.

    “It is most important to watch if the Huthis will stop their military operations,“ Alasrar said.

    “That will be the real litmus test of a successful ceasefire as the Huthis have currently opened multiple battlefronts they cannot afford to close.”

    Fighting recently escalated again between the Huthis and Riyadh-backed Yemeni troops around the strategic northern districts of Al-Jouf and Marib, ending a months-long lull.

    And Saudi air defences intercepted Yemeni rebel missiles over Riyadh and the border city of Jizan late last month, leaving two civilians wounded in the curfew-locked capital, state media reported.

    It was the first major assault on Saudi Arabia since the Huthi rebels offered last September to halt attacks on the kingdom after devastating assaults on Saudi oil installations.

    Last week, the coalition carried out multiple air strikes on Yemen’s rebel-held capital Sanaa in retaliation for the missile strikes. – AFP

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  • WHO Timeline – COVID-19

    31 Dec 2019

    China reported a cluster of cases of pneumonia in Wuhan, Hubei Province. A novel coronavirus was eventually identified.

    1 January 2020

    WHO had set up the IMST (Incident Management Support Team) across the three levels of the organization: headquarters, regional headquarters and country level, putting the organization on an emergency footing for dealing with the outbreak.

    4  January 2020

    WHO reported on social media that there was a cluster of pneumonia cases – with no deaths – in Wuhan, Hubei province. 

    5 January 2020

    WHO published our first Disease Outbreak News on the new virus. This is a flagship technical publication to the scientific and public health community as well as global media. It contained a risk assessment and advice, and reported on what China had told the organization about the status of patients and the public health response on the cluster of pneumonia cases in Wuhan.

    10 January 2020

    WHO issued a comprehensive package of technical guidance online with advice to all countries on how to detect, test and manage potential cases, based on what was known about the virus at the time.

    Evidence at that time suggested there was “no or limited human-to-human transmission.” Based on experience with SARS and MERS and known modes of transmission of respiratory viruses, infection and prevention control guidance were published to protect health workers recommending droplet and contact precautions when caring for patients, and airborne precautions for aerosol generating procedures conducted by health workers.

    12 January 2020

    China shared the genetic sequence of COVID-19. 

    13 January 2020

    Officials confirm case of COVID-19 in Thailand, the first recorded case outside of China.  

    14 January 2020

    Dr. Maria Van Kerkhove noted in a press briefing there had been limited human-to-human transmission of the coronavirus (in the 41 confirmed cases), mainly through family members, and that there was a risk of a possible wider outbreak. Dr. Kerkhove noted that human-to-human transmission would not be surprising given our experience with SARS, MERS and other respiratory pathogens. 

    20-21 January 2020

    WHO experts from its China and Western Pacific regional offices conducted a brief field visit to Wuhan.

    22 January 2020

    WHO mission to China issued a statement saying that there was evidence of human-to-human transmission in Wuhan but more investigation was needed to understand the full extent of transmission.

    22- 23 January 2020

    The WHO Director- General convened an Emergency Committee (EC) under the International Health Regulations (IHR 2005) to assess whether the outbreak constituted a public health emergency of international concern. The independent members from around the world could not reach a consensus based on the evidence available at the time. They asked to be reconvened within 10 days after receiving more information.

    28 January 2020

    A senior WHO delegation led by the Director-General travelled to Beijing to meet China’s leadership, learn more about China’s response, and to offer any technical assistance. 

    While in Beijing, Dr. Tedros agreed with Chinese government leaders that an international team of leading scientists would travel to China on a mission to better understand the context, the overall response, and exchange information and experience.

    11-12 February 2020

    WHO convened a Research and Innovation Forum on COVID-19, attended by more than 400 experts and funders from around the world, which included presentations by George Gao, Director General of China CDC, and Zunyou Wu, China CDC’s chief epidemiologist. 

    16-24 February 2020

    The WHO-China Joint mission, which included experts from Canada, Germany, Japan, Nigeria, Republic of Korea, Russia, Singapore and the US (CDC, NIH) spent time in Beijing and also travelled to Wuhan and two other cities. They spoke with health officials, scientists and health workers in health facilities (maintaining physical distancing). The report of the joint mission can be found here: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf

     

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  • Visa Foundation Donates $210m As Support For Small And Micro Enterprises

    Visa Foundation Donates $210m As Support For Small And Micro Enterprises

    Visa Foundation Donates $210m As Support For Small And Micro Enterprises 3

    Visa Foundation Donates $210m As Support For Small And Micro Enterprises 4


     

    Visa Foundation has announced a donation of $210m to support small and micro businesses, aligning with the foundation’s long-term focus on women’s economic advancement and inclusive economic development.

    The first program of $10m is designated for immediate emergency relief to support charitable organisations on the frontlines responding to the COVID-19 pandemic such as public health and food relief in each of the five geographic regions in which Visa operates.

    “As COVID-19 continues to unfold, communities are feeling the effects and need our immediate support,” said Al Kelly, CEO and Chairman of Visa.

    “As a global company that operates a very local business, we recognise this need.

    We’re also committed to the long-term recovery and will continue to explore ways we can accelerate economic activity in line with our mission to help individuals, businesses and economies thrive,” Kelly added.

    The second program is a five-year, strategic $200m commitment to support small and micro-businesses around the world, with a focus on fostering women’s economic advancement.

    The funds from Visa Foundation will provide capital to non-government organisations and investment partners supporting small and micro-businesses.

     

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    Visa Foundation Donates $210m As Support For Small And Micro Enterprises
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  • The Great Barrier Reef has suffered its most widespread bleaching yet

    The Great Barrier Reef has suffered its most widespread bleaching yet

    Australia’s record-breaking heatwave early this year bleached 60 per cent of the Great Barrier Reef, affecting all three of its regions for the first time
    The Great Barrier Reef has suffered its most widespread bleaching yet
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    https://www.newscientist.com/article/2239957-the-great-barrier-reef-has-suffered-its-most-widespread-bleaching-yet/?utm_campaign=RSS%7CNSNS&utm_source=NSNS&utm_medium=RSS&utm_content=home

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  • People allowed to leave China’s Wuhan as Covid-19 lockdown eases

    People allowed to leave China’s Wuhan as Covid-19 lockdown eases

    People allowed to leave China’s Wuhan as Covid-19 lockdown eases 5

    WUHAN: The central Chinese city of Wuhan began allowing people to leave on Wednesday for the first time since it was locked down 76 days ago to contain the novel coronavirus, despite fears of a second wave of infection if such restrictions are eased too soon.

    China sealed off the city of 11 million people on Jan. 23 after it became clear that the flu-like virus that had emerged there late last year was highly contagious and potentially deadly.

    The first train to carry departing passengers out of the city left at 00:50 a.m. (1650 GMT), and outbound highways were opened to vehicular traffic around the same time.

    “I’m very happy, I’m going home today,“ migrant worker Liu Xiaomin told Reuters as she stood with her suitcases inside Wuhan’s Hankou railway station, bound for Xiangyang city.

    The topic “Wuhan lifts lockdown” quickly became the top trending topic on China’s Twitter-like Weibo platform, with posters leaving comments such as “welcome back Wuhan”.

    Based on ticket sales, 55,000 people will leave Wuhan by train on Wednesday, state broadcaster CCTV reported, citing the railway authority.

    That is slightly more than the number of people who have caught the virus in Wuhan since December. The death toll in the city has reached 2,571, about 80% of the total fatalities in China, according to official figures.

    At its peak, the lockdown saw people forcibly confined to their homes and the transport and industrial hub resembled a ghost town, with streets deserted except for police patrols and emergency vehicles.

    But such restrictions have eased in recent days as new infections dropped to a trickle. Mainland China reported no coronavirus deaths for the first time on Tuesday, and Wuhan has counted only two new infections in the past fortnight.

    Authorities are walking a fine line between allowing greater freedom of movement and economic activity while also guarding against a second wave of infection, with particular concern around imported cases and people who show no symptoms but can still pass on the virus.

    Wuhan residents are still urged not to leave their neighbourhoods, the city and even the province unless necessary, health officials said on Tuesday.

    Many people remain fearful of catching the disease, with China reporting 137 new asymptomatic cases on April 7.

    “The number of asymptomatic patients has been slowly going up, I’m worried about this,“ said Yang Chengjun, who was leaving Wuhan by train to get back to his design job in Fuzhou. He was wearing a knee-length raincoat and speaking through a mask.

    Tall barriers continue to surround housing compounds in Wuhan and residents can only leave if they have a green health code or documents showing a valid reason.

    Migrant worker Liu said she and her husband would still be careful about going outside even when they get home to Xiangyang city.

    “My mood will be better but when I get back I still won’t go out too much,“ she said.

    Interactive graphic tracking global spread of coronavirus: open https://tmsnrt.rs/3aIRuz7 in an external browser. – Reuters

    People allowed to leave China’s Wuhan as Covid-19 lockdown eases
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  • Veggies can be transported out of Kundasang: Junz

    Veggies can be transported out of Kundasang: Junz

    Veggies can be transported out of Kundasang: Junz 6

    KOTA KINABALU: The Government has allowed an exemption for the transportation of vegetables from Kundasang to other parts of Sabah like Kota Kinabalu, Sandakan and Tawau since the first and second week of the Movement Control Order (MCO).

    To date, a total of 148 permissions involving 184 vehicles have been registered with special movement stickers.

    This was revealed by Minister of Agriculture and Food Industry, Datuk Junz Wong here yesterday following the press release by Jailin Nazrin, the Kampung Lipasu Unit head for the Kinabalu Area Farmers’Association (PPK) recently.

    Jailin was recently reported as saying, “The problem is getting worse, as vegetable wholesalers from outside Kundasang are not allowed in. Vegetables are important for the people, and their production and sales must continue.”

    Junz said the agency involved in enforcing the MCO are the Royal Malaysian Police, but the transportation of vegetables from Kundasang to Brunei, Sarawak or even Semananjung was exempted.

    Junz explained that at the Ranau/Kundasang district level, all agencies involved were working together to ensure farmers and transporters are assisted.

    “My ministry, the district office, the police, the Health Ministry, Federal Agricultural Marketing Authority (FAMA) and all involved are working closely with the relevant stakeholders like farmers and transporters to ensure the process is smooth.”

    “The MCO has affected everyone, especially farmers in Kundasang. This is unavoidable as we need to bend the curve. But we are working closely to reduce the impact on essential activities.”

    Veggies can be transported out of Kundasang – Junz

    POSTED ON APRIL 8, 2020, WEDNESDAY AT 5:59 AMSABAH

    Junz Wong

    KOTA KINABALU: The Government has allowed an exemption for the transportation of vegetables from Kundasang to other parts of Sabah like Kota Kinabalu, Sandakan and Tawau since the first and second week of the Movement Control Order (MCO).

    To date, a total of 148 permissions involving 184 vehicles have been registered with special movement stickers.

    This was revealed by Minister of Agriculture and Food Industry, Datuk Junz Wong here yesterday following the press release by Jailin Nazrin, the Kampung Lipasu Unit head for the Kinabalu Area Farmers’Association (PPK) recently.

    Jailin was recently reported as saying, “The problem is getting worse, as vegetable wholesalers from outside Kundasang are not allowed in. Vegetables are important for the people, and their production and sales must continue.”

    Junz said the agency involved in enforcing the MCO are the Royal Malaysian Police, but the transportation of vegetables from Kundasang to Brunei, Sarawak or even Semananjung was exempted.

    Junz explained that at the Ranau/Kundasang district level, all agencies involved were working together to ensure farmers and transporters are assisted.

    “My ministry, the district office, the police, the Health Ministry, Federal Agricultural Marketing Authority (FAMA) and all involved are working closely with the relevant stakeholders like farmers and transporters to ensure the process is smooth.”

    “The MCO has affected everyone, especially farmers in Kundasang. This is unavoidable as we need to bend the curve. But we are working closely to reduce the impact on essential activities.”

    Junz said he was informed that Sabah FAMA was monitoring the situation to ensure vegetables planted in Kundasang reach Tawau, Lahad Datu, Semporna, Sandakan, Kudat and Kota Kinabalu.

    “Vegetables from Kundasang have even reached Sarawak through Sindumin. In fact, Sabah FAMA has also facilitated 45 metric tonnes of produce to places like Selayang in Selangor and Kuala Lumpur. There was no issue.”

    Meanwhile, Junz praised farmer and activist Azizul Julirin and his friends for assisting the transportation of produce to Kota Kinabalu.

    “I have met and been in touch with Azizul who is a youth activist and farmer in Kundasang himself. He and his friends have been transporting vegetables from Kundasang to Kota Kinabalu.”

    “But who is Jailin who made the baseless claim? Is he from Kundasang and a farmer in Kundasang? We have never seen him around and the locals don’t know him.”

    “My ministry through the Agriculture Department will continue allowing and monitoring the situation. We have been doing this since the first and second week of the MCO and we will continue doing so,” Junz concluded. – Borneo Post

    Veggies can be transported out of Kundasang: Junz
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  • WHO lists two COVID-19 tests for emergency use

    WHO has listed the first two diagnostic tests for emergency use during the Covid-19 pandemic. The move should help increase access to quality-assured, accurate tests for the disease.  It also means that the tests can now be supplied by the United
    Nations and other procurement agencies supporting the COVID-19 response.

    Both in vitro diagnostics, the tests are genesig Real-Time PCR Coronavirus (COVID-19) and cobas SARS-CoV-2 Qualitative assay for use on the cobas® 6800/8800 Systems. 

    “The emergency use listing of these products will enable countries to increase testing with quality assured diagnostics,” says Dr Mariângela Simão, WHO Assistant-Director General for Medicines and Health Products. “Facilitating
    access to accurate tests is essential for countries to address the pandemic with the best tools possible.” 

    The Emergency Use Listing procedure (EUL) was established to expedite the availability of diagnostics needed in public health emergency situations. It is intended to help procurement agencies
    and countries navigate the large presence of different devices on the market and, by assessing them, provides assurance of the products’ quality and performance.

    The genesig Real-Time PCR Coronavirus (COVID-19) (Primerdesign, United Kingdom) is an open system more suitable for laboratories with moderate sample testing capacity, while the cobas® SARS-CoV-2 for use on the cobas® 6800/8800 Systems (Roche, United States of America) is a closed system assay for larger laboratories.

     

    EUL listed products:

    https://www.who.int/diagnostics_laboratory/200407_eul_sars_cov2_product_list.pdf?ua=1

    Roche test:

    https://www.who.int/diagnostics_laboratory/eul_0504-046-00_cobas_sars_cov2_qualitative_assay_ifu.pdf?ua=1

    Primerdesign test:

    https://www.who.int/diagnostics_laboratory/eul_0489_185_00_path_covid19_ce_ivd_ifu_issue_2.0.pdf?ua=1

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  • #BeActive for the UN International Day of Sport for Development and Peace

    #BeActive for the UN International Day of Sport for Development and Peace

    FIFA has joined forces with the United Nations (UN) and the World Health Organization (WHO) in supporting the #BeActive campaign launched on the UN International Day of Sport for Development and Peace to encourage people to be #HealthyAtHome as the world comes together in the fight against COVID-19, today and every day.

    WHO recommends all healthy adults do at least 30 minutes a day of physical activity and children at least 60 minutes per day. As part of this, #BeActive and remain #HealthyAtHome include the following suggestions along with any other form of recreation
    to stay healthy at home:

    #BeActive for the UN International Day of Sport for Development and Peace 7

    1. Taking some online exercise classes,
    2. Dancing,
    3. Playing active video games,
    4. Jumping rope, and
    5. Practising muscle strength and balance training.

    “We are delighted that football is strongly supporting the International Day of Sport for Development and Peace by asking everyone to #BeActive and to remain healthy at home during this difficult time,” said António Guterres Secretary-General
    of the United Nations. “FIFA has asked the football community, from member associations and clubs, to players and fans, to show their support, to put their rivalries aside and to show a new solidarity so we can overcome the coronavirus.
    This is an important lesson not only for today, but for every day.”

    “More than ever, especially now, one thing must be clear to everyone, health comes first,” said FIFA President Gianni Infantino. “FIFA is delighted to support both the United Nations and the World Health Organization in amplifying
    the #BeActive campaign today, and we are encouraged that the football community is also playing an active role in ensuring the message understood globally. For the first time ever, we are all on the same team and together, with team spirit and
    positive energy, we will win.” 

    “WHO is proud to collaborate as part of the UN family with FIFA and football lovers worldwide to promote the importance of being active for both physical and mental health,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “The #BeActive campaign supports WHO’s drive to help people be healthy at home.”

    The campaign kicks off with Real Madrid CF, FC Barcelona, Liverpool FC and Manchester United FC asking football fans to set aside their rivalries and to come together to #BeActive in order to defeat the coronavirus. Other clubs, including Club América,
    CD Guadalajara, Beijing Guoan FC, Shanghai Shenhua FC, Mohun Bagan AC, East Bengal FC, Melbourne City FC, Sydney FC, Auckland City FC, Team Wellington FC, CA River Plate, Olympique de Marseille, TP Mazembe, CR Flamengo and SE Palmeiras will also
    join the initiative in the coming days.

    As part of the campaign, world-famous players share the following message: “At this time, even rivals need to stick together. We have to keep our distance, but we do not lose our focus. We can show solidarity by being active, and active means
    following the guidelines from the WHO.”

    The video campaign will
    be published on various FIFA digital channels, with regular subsequent updates from clubs and players across the world during subsequent days. #BeActive is also being supported with graphics toolkits for the 211 FIFA member associations and various
    media agencies to facilitate additional localisation and to further amplify the message.

    WHO, the UN’s specialized health agency, and FIFA, football’s world governing body, collaborate closely to promote healthy lifestyles through football globally and launched the “
    Pass the message to kick out coronavirus” campaign last month to share advice effective measures to protect people from COVID-19.

    The video campaign can also be downloaded here for editorial purposes.

     

     

    #BeActive for the UN International Day of Sport for Development and Peace
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