Category: General

More U.S. states desperate to fight COVID-19 are calling on the National Guard and other military personnel to assist virus-weary medical staffs at hospitals and other care centers.

Unvaccinated people are overwhelming hospitals in certain states, especially in the Northeast and the Upper Midwest. New York, meanwhile, announced a statewide indoor mask order, effective Monday and lasting five weeks through the holiday season.

“We’re entering a time of uncertainty, and we could either plateau here or our cases could get out of control,” Governor Kathy Hochul warned Friday.

In Michigan, health director Elizabeth Hertel was equally blunt: “I want to be absolutely clear: You are risking serious illness, hospitalization and even death” without a vaccination.

The seven-day rolling average for daily new cases in the U.S. rose over the past two weeks to 117,677 by Thursday, compared to 84,756 on Nov. 25, Thanksgiving Day, according to Johns Hopkins University. The number of people hospitalized with COVID-19 has soared to about 54,000 on average, according to the Centers for Disease Control and Prevention.

Meanwhile, the country is approaching a new milestone of 800,000 COVID-19 deaths. More than 200 million Americans, or about 60% of the population, are now fully vaccinated.

In Maine, which hit a pandemic high this week with nearly 400 COVID-19 patients in hospitals, as many as 75 members of the National Guard were being summoned to try to keep people out of critical care with monoclonal antibodies and to perform other non-clinical tasks.

Maine has one of the highest COVID-19 vaccination rates in the country – 73% – but that rate lags in many of the state’s rural pockets.

The New York National Guard said it had deployed 120 Army medics and Air Force medical technicians to 12 nursing homes and long-term care facilities to relieve fatigued staff.

Dr. Paolo Marciano, chief medical officer at Beaumont Hospital in Dearborn, Michigan, said it was a “tremendous lifeline” to get assistance from the Defense Department, which has more than 60 nurses, doctors and respiratory therapists assigned to the state.

“It allowed us to be able to care for the COVID patients and at the same time still maintain the level of care that cancer patients require or people with chronic illnesses,” Marciano said. “Where we are today is really just keeping our heads above water.”

New York’s mask order covers all indoor public places unless a business or venue has a vaccine requirement. The state reported more than 68,000 positive tests for the virus in a seven-day period that ended Wednesday, the most for any seven-day stretch since February.

New York City and several upstate New York counties already have mask mandates. Critics, however, said the governor’s announcement was another burden for businesses.

“Government overreach at its worst,” said Republican Assemblyman Mike Lawler.

Michigan is sending more ventilators to hospitals and asking for even more from the national stockpile. Infection rates and hospitalizations are at record levels, 21 months into the pandemic. The first case of the omicron variant was confirmed Thursday in the Grand Rapids area.

The largest hospital system in Indiana enlisted the National Guard for support this week after the number of COVID-19 patients in the state more than doubled in the past month. The state’s COVID-19 hospitalizations are now higher than Indiana’s summer surge that peaked in September and are approaching the pandemic peak reached in late 2020.

Source: Voice of America

South Korea, widely seen as a global model of coronavirus containment, faces its biggest pandemic challenge yet, as COVID-19 cases and deaths continue to rise after the country began removing pandemic related restrictions.

Daily caseloads surpassed 7,000 Wednesday, Thursday and Friday. That is quadruple the daily numbers reported at the beginning of November, when South Korea pivoted toward its living with COVID-19 plan.

In the Seoul metropolitan area, where more than half the country’s population resides, intensive care hospital beds are full. The country has also hit new daily highs for the number of severely ill COVID-19 patients, which stood at 857 Thursday.

Although South Korea has tallied only a fraction of the cases and deaths of other developed countries such as the United States and Britain, its fatality rate rose to 1.4% over the past week. That is the ninth highest among 38 Organization for Economic Cooperation and Development nations.

South Korea’s deteriorating situation demonstrates the challenges of returning to life as normal, complicated by the delta variant that undermined government projections, even in a country that had until now been spared the worst of the pandemic.

Grim warnings

Government officials, who have been careful not to raise unnecessary alarms as they sought to keep businesses open, are now sounding a grimmer tone.

At a meeting of the Central Disaster and Safety Countermeasures Headquarters on Friday, Prime Minister Kim Boo-kyum, who oversees the pandemic response, judged that the country’s medical response capability was quickly burning out, warning that stricter social distancing measures may need to be enforced if the “risky situation” does not soon turn around.

The prime minister again placed heavy emphasis on vaccination, including for minors. He announced the interval between the second vaccine shot and boosters would be shortened to three months.

The government paused its “living with COVID-19” transition Monday, replacing it with an expanded “vaccine pass” mandate. The new plan requires people who gather in limited groups at restaurants and cafes to show proof of vaccination or a very recent negative PCR test result upon entry. This usually takes the form of a smartphone application, called COOV. The mandate extends to other public facilities, including gyms, study rooms and bars.

Risk control

The figure that health officials are watching closely is the number of severe COVID-19 patients, especially as hospitals are taxed. A recent projection by the National Institute for Mathematical Sciences put that figure as likely to exceed 1,000 by next week, and the overall daily caseload could reach the 12,000 level by the end of the month.

That is an alarming prospect for hospital staff, who are already exhausted by the unrelenting stream of COVID-19 patients.

“Non-COVID patients are not able to access the ER.” Dr. Chon Eun-mi, a pulmonologist at Ewha Womans University Mokdong Hospital, told VOA.

“The ER is clogged with COVID patients, leaving people with other symptoms no choice but to wait it out at home. Surgeries are also being delayed,” she said.

It’s a similar picture at other major hospitals across Seoul, nearby Incheon and the surrounding Gyeonggi province.

Kim issued an administrative order for 1,700 more hospital beds to be secured outside of the capital.

Those 60 years and older, with waning vaccine immunity, have made up most of the severe breakthrough cases as the delta variant spreads in the country.

“The government didn’t expect this many severe COVID cases since we had made vaccination progress,” Chon said, referring to South Korea’s 92% vaccination rate among adults.

“It broadly adopted its ‘living with COVID’ transition, more people moved about, and those who were immunocompromised or elderly became reinfected. But, this time, they had to wait at home because there were no available hospital beds. Their conditions worsened and they died before they could get real help,” she said.

Chon said COVID-19 patients should be centralized at a large facility such as a stadium, convention hall or borrowed hotel, where those with mild symptoms can receive antibody or remdesivir treatment before their conditions worsen. She said the current approach of remotely treating mild patients from home is not working.

The omicron factor

South Korea has detected at least 63 cases of the omicron variant, 48 of which were linked to community spread.

Omicron, which the World Health Organization last month designated a variant of concern, was first reported by South Africa. Health experts fear it may be more transmissible, but it is not yet clear if it causes more or less severe symptoms.

Seoul has limited arrivals from a growing list of African countries, most recently Ghana and Zambia. It also instituted a mandatory 10-day quarantine on all international arrivals, regardless of their vaccination status.

Dr. Chung Jae-hoon, adviser to the prime minister’s office and the Korea Disease Control and Prevention Agency, recently offered this assessment to a local newspaper.

“Expect to stay in this COVID-19 reality for at least another three years. Delta has taught us that vaccination alone will not end the crisis. The first half of next year will be even harder for medical staff. Bigger challenges remain,” he said.

Source: Voice of America

Health officials in the United States, Israel and other nations have for months been pushing for COVID-19 booster shots among older populations, and those calls are now growing worldwide. The issue was discussed at an extraordinary meeting at World Health Organization in Geneva convened by SAGE, the 15-member Strategic Advisory Group of Experts on vaccination.

Current data show that vaccines against COVID-19 provide a robust level of protection against severe forms of disease. However, emerging evidence indicates vaccines begin to lose their effectiveness about six months after they have been administered. This puts older adults and people with underlying conditions at particular risk.

Chair of SAGE, Alejandro Cravioto, says the group of experts agrees a booster shot would provide a greater level of protection for people at risk. However, he notes vaccines are in short supply in many parts of the world. He says the wide administration of booster doses risks exacerbating inequities in vaccine access.

He notes most current infections are among unvaccinated people, the majority of whom live in poor, developing countries. He says SAGE believes they should receive these life-saving vaccines instead of further doses being provided to people who already are fully inoculated against the coronavirus.

“For the time being, we continue to support — one, the need for equity in the distribution and allocation of vaccines and, two, the use of third doses only on those that we have previously recommended. Those that have received inactivated vaccines and those that are immuno-compromised, which are the two groups that we feel should be protected further by a third dose of the primary process,” he said.

Cravioto said meeting participants also discussed the feasibility of mixing and matching different vaccines, such as those developed by Pfizer and Moderna to achieve full immunity against COVID.

“WHO supports a flexible approach to homologous or a single platform versus a heterologous mix and match schedules. We still believe that the best approach is to use the same vaccine for the two primary doses,” Cravioto said.

For national immunization programs, however, he said a different vaccine can be used for an additional third dose. This, if the vaccine used for the two primary shots is in short supply and unavailable.

Source: Voice of America

As cases of COVID-19 caused by the omicron variant soar in South Africa, hospital officials monitoring the outbreak say patient reports offer compelling evidence the variant causes illness that is less severe than previous forms of the disease.

“Most of the people we’re seeing are having mild or moderate form of COVID-19, and not the severe form that requires hospitalization and may lead to death,” said Dr. Richard Friedland, the chief executive of Netcare, one of South Africa’s largest private hospital groups, based in Johannesburg.

“Patients present with mild to moderate flu-like symptoms, a scratchy or sore throat, a headache, or a runny or blocked nose,” he said.

Similar symptoms are being reported nationwide as hospitals monitor patients.

World health authorities caution that the patient information is preliminary, and they say it is not known how omicron will behave as it spreads more widely.

The World Health Organization says the variant has been found in more than 50 countries. Anecdotal information from countries including the United States so far indicates less severe symptoms than exhibited in previous variants, echoing findings in South Africa hospitals.

“We certainly have information from South Africa that many of the patients that are identified with omicron have a milder course of disease, but it does take time for people to go through the full course of their infection,” said Maria Van Kerkhove, WHO’s technical lead for COVID-19.

South Africa’s National Institute for Communicable Diseases reported 20,000 new COVID-19 cases and 36 COVID-19 related deaths Wednesday, the highest numbers since the omicron variant was first detected.

NetCare’s Dr. Friedland said the company’s hospitals are seeing far fewer admissions, however, than in the nation’s earlier phases of COVID-19 and most patients are not suffering enough to need oxygen.

“Ninety percent of the patients we have in the hospital now need no oxygen at all,” he said. “They’re on room air. All they have is mild upper respiratory tract infections.

“So, it’s a very, very different clinical picture,” he said. “That contrasts to 100% of patients that we admitted during the first, the second and the third wave, who were very sick, and all required oxygen therapy.”

Most omicron-positive people in NetCare’s hospitals are what Friedland called “incidental” COVID-19 patients, who come to the hospital because of other emergencies, or to have a surgical procedure, and are subsequently diagnosed with coronavirus.

Roughly 75% of people in NetCare hospitals diagnosed with COVID-19 are unvaccinated, Dr. Friedland said. He added that patient admission data appears to be “clear evidence” that current vaccines offer some protection against omicron.

Some 36% of South Africans are fully vaccinated and the government is strongly urging citizens to get the shots.

Source: Voice of America

A senior Myanmar junta official said on Tuesday the imprisonment of Aung San Suu Kyi showed that no one was above the law and the army chief had commuted her sentence on “grounds of humanity.”

Information Minister Maung Maung Ohn also told a virtual briefing that Myanmar’s judicial system was impartial and Monday’s sentencing of the Nobel laureate and former leader was according to the law.

Suu Kyi, 76, was sentenced to four years in prison for incitement and breaching coronavirus regulations but the military junta leaders reduced it to a two-year term of detention in her current location.

“There is no one above the law,” Maung Maung Ohn said on Tuesday, adding that Myanmar’s judicial system “has no partiality.”

He was speaking at a rare media briefing on the economy during which he and the junta’s investment minister said the situation in the country was stabilizing.

They said preparations for elections to be held before August 2023 were under way but would not confirm whether Suu Kyi’s party, the National League for Democracy, would be allowed to compete.

The party is under investigation by the election commission, which Maung Maung Ohn said was due to report back early next year.

Myanmar has been in crisis since the military seized power in a Feb.1 coup, arresting Suu Kyi and most of her government.

Security forces seeking to crush opposition have since killed more than 1,200 people, according to monitoring group the Assistance Association for Political Prisoners, and armed rebellions have sprung up across the country.

On Sunday, security forces in a truck rammed into a flash mob protest in the commercial capital of Yangon, killing at least five people, the news website Myanmar Now reported.

Maung Maung Ohn said the protest was the result of pressure from anti-coup groups “so that young people get emotional” but that crowd management by authorities “is sometimes handled unintentionally”.

“Such kind of protests should be prevented according to the law,” he said.

Source: Voice of America

WASHINGTON — The United States on Tuesday imposed sanctions on more than a dozen people and entities in Iran, Syria and Uganda, accusing them of being connected to serious human rights abuses and repressive acts.

In an action marking the week of the U.S. Summit for Democracy, the Treasury Department said in a statement it was targeting repression and the undermining of democracy, designating individuals and entities tied to the violent suppression of peaceful protesters in Iran and deadly chemical weapons attacks against civilians in Syria, among others.

“Treasury will continue to defend against authoritarianism, promoting accountability for violent repression of people seeking to exercise their human rights and fundamental freedoms,” Andrea Gacki, director of the Treasury’s Office of Foreign Assets Control, said in the statement.

The action freezes any U.S. assets of those blacklisted and generally bars Americans from dealing with them.

Washington blacklisted two senior Syrian air Force officers it accused of being responsible for chemical weapon attacks on civilians and three senior officers in Syria’s security and intelligence apparatus, according to the statement.

Uganda’s chief of military intelligence, Major General Abel Kandiho, was also hit with sanctions over alleged human rights abuses committed under his watch. The Ugandan military said earlier on Tuesday that it was disappointed by the decision, which it said had been made without due process.

In Iran, the United States designated the Special Units of Iran’s Law Enforcement Forces and Counter-Terror Special Forces, as well as several of their officials, and Gholamreza Soleimani, who commands Iran’s hardline Basij militia. Two prisons and a prison director were also blacklisted over events that reportedly took place in the prisons.

Iran criticized the United States for imposing new sanctions days before talks are set to resume in Vienna on rescuing the 2015 Iran nuclear deal.

“Even amid #ViennaTalks, US cannot stop imposing sanctions against Iran,” Iranian Foreign Ministry spokesman Saeed Khatibzadeh said on Twitter. “Doubling down on sanctions won’t create leverage — and is anything but seriousness & goodwill.”

The talks broke off on Friday as European officials voiced dismay at sweeping demands by Iran’s new hardline government.

The seventh round of talks in Vienna is the first with delegates sent by Iran’s anti-Western President Ebrahim Raisi on how to resuscitate the agreement under which Iran limited its nuclear program in return for relief from economic sanctions.

Source: Voice of America