Fully vaccinated people can unmask outdoors in some cases: U.S. CDC

(Reuters) – Fully vaccinated people can safely engage in outdoor activities like walking and hiking without wearing masks but should continue to use face-coverings in public spaces where they are required, U.S. health regulators said on Tuesday.

The updated health advice comes as more than half of all adults in the United States have now received at least one dose of COVID-19 vaccine, according to the U.S. Centers for Disease Control and Prevention (CDC).

“The release of these new guidelines is a first step at helping fully vaccinated Americans resume activities they had stopped doing because of the pandemic, while being mindful of the potential risk of transmitting the virus to others,” the CDC said.

Wearing face masks has been considered by experts as one of the most effective ways of controlling virus transmission. With most COVID-19 transmission occurring indoors, and vaccinations on the rise, the use of masks outdoors has been under public debate for weeks in the United States as Americans look to enjoy the benefits of being fully vaccinated.

New COVID-19 cases have dropped 16% in the last week as the U.S. surpassed 140 million people having received at least one shot of authorized vaccines from Pfizer/BioNTech, Moderna or Johnson & Johnson’s one-dose vaccine.

This was the biggest percentage drop in weekly new cases since February, according to a Reuters analysis of state and county data.

SMALL OUTDOOR GATHERINGS

The agency said fully-vaccinated Americans can safely dine outdoors with friends from multiple households at restaurants and attend small outdoor gatherings with a mixture of fully vaccinated and unvaccinated people.

CDC continues to recommend masking for crowded outdoor events such as parades and sporting events and indoor visits to the hair salon, shopping malls, movie theaters and houses of worship.

The agency classified activities as “red,” “yellow” and “green” based on level of safety for unvaccinated people.

It said unvaccinated people can also walk and run unmasked with household members outdoors safely and attend small outdoor gatherings with fully vaccinated family and friends.

Data on whether vaccinated people can spread infection to those who did not receive their shots is limited and the CDC warned that people should evaluate risk to friends and family before going out without masks.

This is an update to the CDC’s guidance, which in March said people who have been fully vaccinated against COVID-19 can meet without masks indoors in small groups with others who also have been inoculated.

(Reporting by Manojna Maddipatla in Bengaluru; Editing by Caroline Humer and Bill Berkrot)

U.S. administers 230.8 million doses of COVID-19 vaccines – CDC

(Reuters) – The United States has administered 230,768,454 doses of COVID-19 vaccines in the country as of Monday morning, the U.S. Centers for Disease Control and Prevention said on Monday.

The figure is up from the 228,661,408 vaccine doses the CDC said had gone into arms by Sunday out of 290,692,005 doses delivered.

The agency said 140,969,663 people had received at least one dose while 95,888,088 people are fully vaccinated as of Monday.

The CDC tally includes two-dose vaccines from Moderna and Pfizer/BioNTech, as well as Johnson & Johnson’s one-shot vaccine as of 6:00 a.m. ET on Monday.

A total of 7,791,592 vaccine doses have been administered in long-term care facilities, the agency said.

The number of vaccine doses delivered remained at 290,692,005, as of Monday morning as shipments are not always sent on Sundays, according to the CDC.

(Reporting by Trisha Roy in Bengaluru)

India sends army to help hospitals hit by COVID-19 as countries promise aid

By Shilpa Jamkhandikar and Neha Arora

NEW DELHI (Reuters) – India ordered its armed forces on Monday to help tackle surging new coronavirus infections that are overwhelming hospitals, as countries including Britain, Germany and the United States pledged to send urgent medical aid. In a meeting with Prime Minister Narendra Modi, the Chief of Defense Staff General Bipin Rawat said oxygen would be released to hospitals from armed forces reserves and retired medical military personnel would join COVID-19 health facilities.

And where possible, military medical infrastructure will be made available to civilians, a government statement said, as new coronavirus infections hit a record peak for a fifth day.

“Air, Rail, Road & Sea; Heaven & earth are being moved to overcome challenges thrown up by this wave of COVID19,” Health Minister Harsh Vardhan said on Twitter.

Modi on Sunday urged all citizens to get vaccinated and to exercise caution amid what he called a “storm” of infections, while hospitals and doctors in some northern states posted urgent notices saying they were unable to cope with the influx.

In some of the worst-hit cities, bodies were being burnt in makeshift facilities offering mass cremations.

The southern state of Karnataka, home to the tech city of Bengaluru, ordered a 14-day lockdown from Tuesday, joining the western industrial state of Maharashtra, where lockdowns run until May 1, although some states were also set to lift lockdown measures this week.

The patchy curbs, complicated by local elections and mass festival gatherings, could prompt breakouts elsewhere, as infections rose by 352,991 in the last 24 hours, with crowded hospitals running out of oxygen supplies and beds.

“Currently the hospital is in beg-and-borrow mode and it is an extreme crisis situation,” said a spokesman for the Sir Ganga Ram Hospital in the capital, New Delhi.

FIRE

Following a fire at a hospital in the western diamond industry hub of Surat, five COVID-19 patients died after being moved to other hospitals that lacked space in their intensive care units, a municipal official told Reuters.

Television channel NDTV broadcast images of three health workers in the eastern state of Bihar pulling a body along the ground on its way to cremation, as stretchers ran short.

“If you’ve never been to a cremation, the smell of death never leaves you,” Vipin Narang, a political science professor at Massachusetts Institute of Technology (MIT) in the United States, said on Twitter.

“My heart breaks for all my friends and family in Delhi and India going through this hell.”

On Sunday, President Joe Biden said the United States would send raw materials for vaccines, medical equipment and protective gear. Germany joined a growing list of countries pledging supplies.

In Moscow, which expects 50 million doses of its Sputnik V vaccine to be made each month in India this summer, a Kremlin spokesman expressed concern over the situation.

India, with a population of 1.3 billion, has an official tally of 17.31 million infections and 195,123 deaths, after 2,812 deaths overnight, health ministry data showed, although health experts say the figures probably run higher.

The surge in infections hit oil prices amid worries about a fall in fuel demand in the world’s third-biggest oil importer.

RALLY BACKLASH

Several cities have ordered curfews, while police enforce social distancing and mask-wearing. Politicians, especially Modi, have faced criticism for holding rallies during state election campaigns that draw thousands into packed stadiums.

About 8.6 million voters were expected to cast ballots on Monday in the eastern state of West Bengal, in the final phases of a contest set to wrap up this week. Also voting in local elections was the most populous state of Uttar Pradesh, which has been reporting an average of 30,000 infections a day.

Modi’s plea on vaccinations came after inoculations peaked at 4.5 million doses on April 5, but have since averaged about 2.7 million a day, government figures show.

Virologists said more infectious variants of the virus, including an Indian one, have fueled the resurgence.

The government told people to stay indoors and follow hygiene protocols. “Please don’t invite people into your home… It has become clearer that the transmissibility of this virus is faster,” said senior health official Vinod Kumar Paul.

Vaccine demand has outpaced supply as the inoculation campaign widened this month, while companies struggle to boost output, partly because of a shortage of raw material and a fire at a facility making the AstraZeneca dose.

However, the federal government will not import vaccines itself but expects states and companies to do so instead, in a step aimed at backing domestic manufacturers, two government officials told Reuters. [L4N2MF3ZM]

Neighboring Bangladesh sealed its border with India for 14 days, its foreign ministry said, though trade will continue. Air travel has been suspended since Bangladesh imposed a lockdown on April 14 to combat record infections and deaths.

(Reporting by Shilpa Jamkhandikar and Neha Arora; Additional reporting by Sumit Khanna, Krishna Das, Anuron Kumar Mitra, Chandini Monnappa in Bengaluru, Rajendra Jadhav in Satara, Ruma Paul in Dhaka and Dmitry Antonov in Moscow; Writing by Clarence Fernandez and William Maclean; Editing by Simon Cameron-Moore and Gareth Jones)

Remdesivir appears safe for seriously ill children; patients may not pose highest risk to hospital staff

By Nancy Lapid

(Reuters) – The following is a roundup of some of the latest scientific studies on the novel coronavirus and efforts to find treatments and vaccines for COVID-19, the illness caused by the virus.

Antiviral remdesivir appears safe for children

The antiviral drug remdesivir appears to be as safe and effective for use in children with COVID-19 as in adults, according to the largest study to date of children with severe COVID-19 who received the drug. Remdesivir, sold by Gilead Sciences Inc under the brand name Veklury, shortens time to recovery in adults with COVID-19. It is not yet approved for children under age 12. In March 2020, Gilead began accepting doctors’ requests for compassionate use of remdesivir in critically ill children with COVID-19. In the new study of 77 children in the United States, UK, Italy and Spain, “remdesivir was well tolerated, with a low incidence of serious adverse events,” related to the drug, researchers reported on Wednesday in Pediatrics. Within four weeks of starting treatment, 88% of the children had decreased need for oxygen support, 83% had recovered and 73% were discharged. Among those requiring mechanical ventilation, 90% were able to be taken off the ventilators. A randomized controlled trial is underway to confirm that the high level of recovery was due to the effects of remdesivir, the researchers said. An editorial published with the study said: “Although morbidity and mortality rates differ, children hospitalized with acute COVID-19 often have a similar disease course as adults. Children are also likely to have a similar response to remdesivir as adults.”

Patients may not pose highest COVID-19 risk for hospital staff

U.S. healthcare workers on the frontlines of the pandemic who become sick with COVID-19 are more likely to have acquired the infection in the community than through patient care, new research suggests. At a major Wisconsin medical center, researchers investigated likely sources of infections by analyzing the gene sequences of the virus obtained on swab samples from 95 healthcare workers and their patients. Only 11% of participants’ infections could be traced to a coworker and only 4% to a patient, the researchers reported in Clinical Infectious Diseases. They said their observations align with recent studies evaluating healthcare-associated infections in the Netherlands and in the UK, and with another recent study that found the most important risk factor for COVID-19 was the rate of the disease in surrounding communities, not workplace factors. “It appears that healthcare personnel most commonly become infected with SARS-CoV-2 via community exposure,” the researchers conclude. “This emphasizes the ongoing importance of mask-wearing, physical distancing, robust testing programs, and rapid distribution of vaccines.”

(Reporting by Nancy Lapid; Editing by Bill Berkrot)

Cambodia police defend caning of lockdown offenders for breaching COVID-19 rules

By Prak Chan Thul

PHNOM PENH (Reuters) – Cambodian police defended on Wednesday making arrests and punishing people by beating them using rattan canes for breaching coronavirus restrictions during a two-week lockdown aimed at containing a spike in infections.

The Southeast Asian country still has one of the world’s smallest coronavirus caseloads, but an outbreak that started in late February has seen overall cases spike to 7,747 and with 54 deaths.

Phnom Penh went into lockdown on April 15 and has declared some districts “red zones,” banning people from leaving their homes except for medical reasons.

A Phnom Penh police spokesman said the caning and arrests were in order to save lives, claiming that most of the public supported them.

“The Phnom Penh administration has decided that no one is allowed to leave their homes because the area is at risk of infections,” spokesman San Sokseiha said.

“A small number of people didn’t listen, and we must take measures to save their lives,” he added.

But Cambodian human rights groups condemned the canings and arrests, saying that there were better ways to ensure people protected themselves and others from the coronavirus.

“We are shocked such severe punishments are used against people for some small infractions,” Naly Pilorge, director of rights group Licadho, said.

The Cambodian Center for Human Rights (CCHR) echoed the concerns.

“We are also dismayed at footage showing use of force by authorities against individuals. Violence is never the answer,” CCHR’s executive director Chak Sopheap said.

Cambodian Information Minister Khieu Kanharith also criticized the use of canes and said police should not use such force if perpetrators did not react violently.

“Do not forget the word serve the people,” Khieu Kanharith said on Facebook, next to pictures of police holding sticks.

(Reporting by Prak Chan Thul; Editing by Ed Davies)

Philippines to start clinical trials on ivermectin, other drugs for COVID-19

By Reuters Staff

MANILA (Reuters) – The Philippines will begin clinical trial of several drugs, including the anti-parasite medication ivermectin, in patients with COVID-19 to determine their efficacy in combatting the coronavirus, a senior government official said.

Some politicians in the Philippines have started promoting the use of ivermectin for coronavirus and given out free doses, although the country’s food and drugs regulator has cautioned against the use because of a lack of evidence for the drug as a treatment.

The clinical trial for ivermectin, which could last for six months, “will give us a more reliable estimate of the effects of invermectin as an anti-viral agent in mild and moderate (COVID-19) patients,” science and technology minister, Fortunato Dela Pena, said in a presentation late on Monday.

The Southeast Asian nation, which is facing one of the worst coronavirus outbreaks in Asia, is battling a renewed surge in infections, with its vaccination drive on reaching 1.3 million people out of its more than 108 million population.

Ivermectin tablets have been approved for treating some worm infestations and for veterinary use in animals for parasites.

The World Health Organization last month recommended against using ivermectin in patients with COVID-19 except for clinical trials, because of a lack of data demonstrating its benefits.

The European Medicines Agency, U.S. Food and Drug Administration, and Merck, an ivermectin manufacturer, have also recommended against its use.

Dela Pena said the government has also approved the clinical trials of a new formulation of methylprednisolone, a steroid, and melatonin, as treatments for COVID-19.

The government will also start trials of an herbal supplement, derived from the native tawa-tawa plant that can fight dengue, he said, adding to ongoing tests using virgin coconut oil for severe COVID-19 patients.

“We are trying several (medications). They may not be vaccines but they could potentially speed up the recovery,” Dela Pena said.

The Philippines has recorded more than 945,000 COVID-19 cases and over 16,000 deaths, the second highest rates in Southeast Asia, next to Indonesia.

Greece opens to tourists, anxious to move on from crisis season

By Karolina Tagaris

RHODES, Greece (Reuters) – Greece began opening to tourists on Monday with few bookings but hopes for a better season to help make up for a 2020 devastated by the coronavirus pandemic.

On Rhodes island, where most visitors are from abroad, hoteliers are scrubbing, polishing and painting in anticipation of a make-or-break year.

“We’re preparing the hotel in order to start as soon as the government gives us the green light,” said George Tselios, general manager of Sun Beach Hotel, whose customers are from Scandinavia, Germany, Austria and Britain.

Greece will formally open on May 14 but starting Monday, tourists from the European Union, the United States, Britain, Serbia, Israel and the United Arab Emirates will not quarantine if they are vaccinated or test negative for COVID-19.

Tourism, which generates a fifth of Greece’s GDP and one in five jobs, is vital for an economy which had climbed out of a decade-long slump only to slip back into recession last year as COVID-19 struck.

In a normal year, Rhodes would have already laid out the umbrellas for a season that runs from March through October. In mid-April, it resembled a ghost city.

Shuttered luxury resorts towered over a long, sandy, empty coastline. Beach towns normally bursting with crowds of British tourists were silent, with boarded up shops, tavernas and bars.

Many have been closed since 2020, when just 7.4 million people visited Greece, fewer than any year in its decade-long economic crisis and down from a record 31.3 million in 2019.

From hotels to restaurants and daily cruise boats, the many businesses surviving on state aid cannot afford another lost summer.

“Most of them feel the country cannot survive another crisis,” Rhodes’s deputy mayor for tourism, Konstantinos Taraslias, said.

Nearly 600,000 tourists visited Rhodes last year, down from 2.3 million in 2019. Just over half its 650 hotels opened, the hoteliers’ association said.

WIDESPREAD TESTING

Greece says it is better placed this summer thanks to widespread testing, quarantine hotels and plans to vaccinate islanders and tourism workers.

“We’ve done everything within our power to have a better season,” said George Hatzimarkos, governor of Greece’s most popular region, the south Aegean islands, which besides Rhodes includes Mykonos and Santorini.

“We’ll be absolutely ready,” by mid-May, Hatzimarkos said.

But bookings are few and most for August to October, said the president of Rhodes’ hoteliers, Manolis Markopoulos, forecasting a year of last-minute reservations.

“We can understand it because guests really want to be sure that they will fly,” he said. “But that does not mean that we will not get bookings later.”

While Greece fared better than much of Europe in containing the first wave of the pandemic, a continuous rise in infections has forced it to impose several lockdowns to protect its strained health service.

Tourists will be subject to lockdown restrictions, which include night-time curfews. Restaurants and bars have been closed since November.

Giannis Chalikias, who manages nine businesses on Rhodes, said only one is open and struggling to meet the obligations of the remaining eight.

“We’re going through an unprecedented situation,” he said. “We’re waiting day by day for people to get vaccinated… so that we can open and have a normal season.”

(Editing by Ed Osmond)

New UK challenge trial studies if people can catch coronavirus again

By Reuters Staff

LONDON (Reuters) – British scientists on Monday launched a trial which will deliberately expose participants who have already had COVID-19 to the coronavirus again to examine immune responses and see how many get re-infected.

In February, Britain became the first country in the world to give the go-ahead for so-called “challenge trials” in humans, in which volunteers are deliberately exposed to COVID-19 to advance research into the disease caused by the coronavirus.

The study launched on Monday differs from the one announced in February as it seeks to re-infect people who have previously had COVID-19 in an effort to deepen understanding about immunity, rather than infecting people for the first time.

“The information from this work will allow us to design better vaccines and treatments, and also to understand if people are protected after having COVID, and for how long,” said Helen McShane, a University of Oxford vaccinologist and chief investigator on the study.

She added that the work would help understanding of what immune responses protect against reinfection.

Scientists have used human challenge trials for decades to learn more about diseases such as malaria, flu, typhoid and cholera, and to develop treatments and vaccines against them.

The first stage of the trial will seek to establish the lowest dose of the coronavirus needed in order for it to start replicating in about 50% of participants, while producing few to no symptoms. A second phase, starting in the summer, will infect different volunteers with that standard dose.

In phase one, up to 64 healthy participants, aged 18-30, who were infected with coronavirus at least three months ago will be re-infected with the original strain of SARS-CoV-2.

They will then quarantine for at least 17 days and be monitored, and anyone who develops symptoms will be given Regeneron monoclonal antibody treatment.

Two to a bed in Delhi hospital as India’s COVID crisis spirals

By Danish Siddiqui and Alasdair Pal

NEW DELHI (Reuters) – Gasping for air, two men wearing oxygen masks share a bed in a government hospital in India’s capital New Delhi, victims of the country’s growing COVID-19 crisis.

From reporting under 10,000 new daily cases earlier this year, daily infections crossed 200,000 on Thursday, according to official data, the highest anywhere in the world.

At Lok Nayak Jai Prakash Narayan Hospital (LNJP), one of India’s largest COVID-only facilities with more than 1,500 beds, a stream of ambulances ferried patients to the overflowing casualty ward on Thursday.

Some also arrived in buses and three-wheeled autorickshaws.

The youngest patient was a new-born baby.

“We are definitely over-burdened. We are already working at full capacity,” said the hospital’s medical director, Suresh Kumar.

From an initial 54 beds, the hospital now has over 300 for COVID-19 patients in critical condition. Even that is not enough.

Unrelated patients share beds, while bodies of the recently deceased lie outside the ward before being taken to the mortuary.

“Today we have 158 admissions in Lok Nayak alone,” Kumar said. Almost all were severe cases.

After imposing one of the world’s strictest lockdowns for nearly three months last year, India’s government relaxed almost all curbs by the beginning of 2021, although many regions have now introduced localized restrictions.

LNJP’s Kumar said fast-spreading new variants that evade testing were adding to the burden, as was human behavior as the country reopened.

“People are not following the COVID guidelines,” he said. “They are just careless.”

Outside the hospital’s mortuary, weeping relatives gathered in the hot sun to wait for the bodies of loved ones to be released.

India approves Russia’s Sputnik V COVID-19 vaccine

By Nigam Prusty and Krishna N. Das

NEW DELHI/MOSCOW (Reuters) -India has approved the use of Russian Sputnik V COVID-19 vaccine, the Russian Direct Investment Fund (RDIF) said on Monday, confirming earlier reports of its imminent endorsement.

India overtook Brazil to become the nation with the second highest number of infections worldwide after the United States, as it battles a second wave, having given about 105 million doses among a population of 1.4 billion.

The RDIF, which is responsible for marketing the vaccine abroad, said the Drug Controller General of India (DCGI) had approved the use of Sputnik V.

“India, the world’s 2nd most populous nation, became the 60th country to register #SputnikV after positive results of local Phase 3 clinical study. Sputnik V is now authorized in 60 countries with population of over 3 bln people,” a post on the Sputnik V official Twitter account said.

Earlier on Monday, two people familiar with the matter said the panel of the Central Drugs Standard Control Organization (CDSCO) had recommended the authorization.

The RDIF has signed deals to produce more than 750 million doses of Sputnik V in India with six domestic firms.

India has so far used two vaccines, one developed by AstraZeneca and Oxford University, and the other by domestic firm Bharat Biotech.

Sputnik V, developed by Moscow’s Gamaleya Institute, has proved 91.6% effective against COVID-19 and has been approved for use in more than 50 countries.

The Indian drugs regulator did not respond to a request for comment on the expert panel’s approval of the Russian vaccine.

Indian pharmaceutical firm Dr. Reddy’s, which is marketing the vaccine in India, said it was awaiting formal word from the authorities.

“Dr. Reddy’s and RDIF are working diligently with the Indian regulatory authorities to obtain the approval for Sputnik V. We are fully committed to playing our part in India’s fight against COVID,” the company said.

Shares of Dr. Reddy’s ended up 5% after the Economic Times newspaper first reported the news.

The firm has helped run a small domestic trial to test the vaccine’s safety and ability to generate an immune response.

(Additional reporting by Rama Venkat and Shivani Singh in Bengaluru, Polina Ivanova and Vladimir Soldatkin in Moscow; Writing by Sachin Ravikumar; Editing by William Maclean and Angus MacSwan)